Ni iki Aminophylline: Ibikoresho, Urutonde rw'imiti, Ingaruka ziterwa n'iyo miti n'ibindi

Aminophylline ni umuti ugura imiyoboro y'ubuhumekero ufasha gufungura imiyoboro yawe y'ubuhumekero iyo ufite ikibazo cyo guhumeka. Ni uruvange rwa theophylline na ethylenediamine abaganga bakoresha cyane cyane mu bitaro bavura ibitero bikomeye bya asima n'ibindi bibazo bikomeye byo guhumeka.

Uyu muti ukora urekura imitsi ikikije imiyoboro yawe y'ubuhumekero, bigatuma umwuka winjira no gusohoka mu muhaha wawe byoroha. Ubusanzwe uzahabwa aminophylline unyuze mu muyoboro w'amaraso (IV) iyo izindi miti zitatanze ubufasha buhagije mu gihe cy'uburwayi bwo guhumeka.

Aminophylline ni iki?

Aminophylline ni umuti wandikirwa na muganga wo mu cyiciro cy'imiti yitwa xanthines. Ni uburyo bwahinduwe bwa theophylline isenyuka neza mu mazi, bigatuma ikoreshwa mu muyoboro w'amaraso.

Uyu muti uvanga theophylline na ethylenediamine kugirango habeho umuti uhoraho wo guterwa. Uku kuvanga bituma abaganga bashobora gutanga umuti ukora mu maraso yawe igihe ukeneye ubufasha bwihuse ku bibazo bikomeye byo guhumeka.

Bitandukanye n'imiti yo kunywa ifata igihe kugirango ikore, aminophylline iterwa mu muyoboro w'amaraso ishobora gutangira gufasha mu minota. Ibi bituma bifite agaciro cyane mu bihe by'ubutabazi aho buri guhumeka ari ingenzi.

Aminophylline ikoreshwa mu iki?

Abaganga bakoresha cyane cyane aminophylline mu kuvura ibitero bikomeye bya asima bitashoboye gusubiza ku yindi miti. Bifasha kandi mu kuvura indwara y'ubuhumekero idakira (COPD) no gufata umwuka mubi n'ibindi bibazo bikomeye byo guhumeka.

Itsinda ryawe ry'ubuzima rishobora gutekereza kuri aminophylline iyo ufite ibibazo bikomeye byo guhumeka bisaba ubufasha bwihuse. Ibihe bisanzwe aho uyu muti wemeza ko ufite agaciro birimo ibibazo bikomeye bya asima, status asthmaticus (igitero kirekire cya asima), n'ibibazo bikomeye bya COPD.

Mu bindi bihe, abaganga bakoresha kandi aminophylline mu gufasha abana bavuka bataragejeje igihe cyo kuvuka bafite apnea, nubwo iyi mikoreshereze idakunze kubaho. Uyu muti ushobora gutera guhumeka mu bana bavutse vuba, sisitemu yabo yo guhumeka itaruzura.

Aminophylline ikora ite?

Aminophylline ikora ibuza zimwe muri za enzyme mu mubiri wawe zituma imitsi yo mu nzira y'umwuka yikaza. Ibi bifasha koroshya imitsi yoroshye ikikije bronchi na bronchioles, utubuto duto twinjiza umwuka mu muhaha wawe.

Uyu muti kandi ufite ingaruka nto zo kurwanya umuvumo kandi ushobora gufasha kugabanya umuvumo mu nzira yawe y'umwuka. Byongeye kandi, itera imbaraga zo guhumeka, itera umubiri wawe guhumeka neza mu gihe cy'ibibazo bikomeye.

Tekereza aminophylline nk'umuti ukomeye wo hagati wagenewe ibibazo bikomeye. Ntabwo ikomeye nk'imiti imwe yo guhumeka yihutirwa, ariko irakomeye kurusha imiti myinshi yo kunywa ushobora gufata buri munsi kubera asima cyangwa COPD.

Nkwiriye gufata aminophylline nte?

Ntabwo wifata aminophylline ubwawe - buri gihe itangwa n'abashinzwe ubuzima mu bitaro cyangwa ahantu hakorerwa ibizamini. Uyu muti uza mu ishusho y'amazi asobanutse aterwa mu mitsi yawe unyuze mu murongo wa IV.

Itsinda ryawe ry'abaganga rizagenzura neza urugero n'umuvuduko wo gutanga bitewe n'uburemere bwawe, imyaka yawe, n'uburemere bw'uburwayi bwawe. Bazagukurikiranira hafi mugihe cyose cyo guterwa kugirango barebe ko urimo gusubiza neza kandi utagira ingaruka mbi.

Kubera ko aminophylline igira ingaruka ku mutima wawe kandi ishobora guhura n'ibintu byinshi, ntuzagomba guhangayika kubijyanye n'ibiribwa. Ariko, menyesha itsinda ryawe ry'abaganga ku bijyanye na cafeine wanyoye vuba, kuko ibintu byombi bishobora kugira ingaruka zimwe ku mubiri wawe.

Nkwiriye gufata aminophylline igihe kingana iki?

Igikorwa cyo kuvura na aminophylline giterwa n'uko guhumeka kwawe bikira vuba kandi n'uko uburwayi bwawe bukomeye. Abantu benshi bakira uyu muti mu masaha make cyangwa iminsi mike mu gihe cy'indwara ikaze.

Abaganga bawe bazagenzura uburyo uhumeka, umuvuduko w'umutima wawe, n'urugero rw'uyu muti mu maraso yawe kugira ngo bamenye igihe bizaba byiza guhagarika. Iyo guhumeka kwawe kugabanyije umuvuduko kandi ukaba ukira neza ku bindi byavuyeho, bazagabanya buhoro buhoro urugero rwa aminophylline.

Mu bihe byinshi, aminophylline ikora nk'umuti wo gufasha - ikagufasha mu gihe cy'ikibazo kugeza igihe imiti yawe isanzwe ishobora kongera gufata. Birashoboka ko uzasubira ku miti yawe isanzwe ya asima cyangwa COPD igihe cyihutirwa kirangiye.

Ni Ibihe Bikorwa Bigaragara Byatewe na Aminophylline?

Kimwe n'indi miti yose, aminophylline ishobora gutera ibikorwa bigaragara, nubwo atari buri wese ubyumva. Ibikorwa bigaragara cyane ushobora kubona birimo isesemi, kubabara umutwe, no kumva uhungabanye cyangwa utishimye.

Igihe uri guhabwa aminophylline, ushobora guhura n'ibi bikorwa bigaragara cyane bisanzwe bikira igihe umubiri wawe wimenyereza uyu muti:

• Isesemi no kurwara mu nda
• Kubabara umutwe no kuribwa
• Kumva uhungabanye cyangwa ufite impungenge
• Umuvuduko w'umutima wihuse
• Kugorwa no gusinzira
• Kuzunguzwa cyangwa guhinda umushyitsi

Ibi bikorwa muri rusange birashoboka kandi bikunda gukira igihe umuti ufasha guhumeka kwawe. Itsinda ryawe ry'ubuvuzi rizagenzura niba hari ibimenyetso bibangamiye.

Ibikorwa bikomeye bigaragara ntibisanzwe ariko bisaba ubufasha bwihuse bw'ubuvuzi. Ibi bishobora kuba harimo ibibazo bikomeye by'umuvuduko w'umutima, ibibazo byo gufatwa, cyangwa ibimenyetso by'uburozi nk'umuriro udashira cyangwa urujijo.

Ibikorwa bimwe na bimwe bidakunze kubaho ariko bikomeye itsinda ryawe ry'ubuvuzi rikurikirana birimo:

• Umutima utera nabi cyane cyangwa kubabara mu gituza
• Udukorwa cyangwa gufatwa n'indwara y'ibihuhwe
• Kuruka cyane kutagira uko guhagarara
• Urujijo rwinshi cyangwa umujinya mwinshi
• Ibimenyetso byo kwibasirwa n'umubiri nk'uruhu rurya cyangwa kugorwa no kumira

Inkuru nziza ni uko uzaba uri mu kigo cy'ubuvuzi aho abantu bafite ubumenyi bazahita bakemura ingaruka zose zishobora kubaho. Bazahindura imiti yawe uko bikwiye kugira ngo bagufashe kuguma mu mutekano kandi wumve neza.

Ninde utagomba gufata Aminophylline?

Abantu bamwe ntibagomba guhabwa aminophylline kubera ibyago byiyongereye byo kugira ibibazo. Itsinda ryawe ry'abaganga rizasuzuma neza amateka yawe mbere yo gutanga uyu muti.

Ntabwo ushobora kuba umukandida mwiza wa aminophylline niba ufite indwara ikomeye y'umutima, ibisebe bikora bya peptic, cyangwa amateka y'uduhuhwe. Abantu bafite indwara y'umwijima nabo bakeneye kwitabwaho by'umwihariko kuko umuti ukoreshwa unyuze mu mwijima.

Itsinda ryawe ry'ubuzima rizagira ubushishozi bwihariye niba uguye muri kimwe muri ibi byiciro:

• Indwara zikomeye z'umutima
• Ibibazo byo mu gifu cyangwa mu mara bikora
• Amateka y'uduhuhwe cyangwa indwara y'ibihuhwe
• Indwara ikomeye y'umwijima
• Hyperthyroidism (thyroid ikora cyane)
• Allergie izwi kuri theophylline cyangwa ethylenediamine

N'ubwo waba ufite kimwe muri ibi bibazo, abaganga bawe barashobora gukoresha aminophylline niba inyungu ziruta ibyago. Bazagukurikiranira hafi gusa kandi barashobora guhindura urugero uko bikwiye.

Amazina y'ubwoko bwa Aminophylline

Aminophylline iboneka munsi y'amazina menshi y'ubwoko, nubwo akenshi yitwa izina ryayo rusange mu bigo by'indembe. Amazina amwe asanzwe y'ubwoko arimo Phyllocontin na Truphylline.

Mu bihe by'ubutabazi, ushobora kumva abaganga bakoresha amazina atandukanye bitewe n'uburyo bwihariye bakoresha. Ikintu cy'ingenzi ni uko ubwoko bwose burimo umuti umwe ukora ufasha gufungura inzira z'umwuka wawe.

Izindi nzira zishobora gukoreshwa aho gukoresha Aminophylline

Imiti itandukanye ishobora gukoreshwa mu mwanya wa aminophylline mu kuvura ibibazo bikomeye byo guhumeka. Abaganga bawe bashobora guhitamo ibindi bintu bitewe n'uburwayi bwawe bwihariye n'amateka yawe y'ubuvuzi.

Izindi nzira zikoreshwa cyane zirimo imiti ifungura inzira z'umwuka nka albuterol, ipratropium, cyangwa imiti ya corticoïdes nka methylprednisolone. Ku gitero gikomeye cya asima, abaganga bashobora kandi gukoresha magnesium sulfate cyangwa epinephrine.

Icyemezo cyo gukoresha umuti giterwa n'ibintu nk'uko ukeneye guhumeka vuba, izindi ndwara ufite, n'uko wabyitwayemo ku miti yakoreshejwe mbere. Itsinda ryawe ry'abaganga rizaguhitiramo icyiza cy'uburwayi bwawe bwihariye.

Ese Aminophylline iruta Theophylline?

Aminophylline na theophylline ni imiti ifitanye isano ya hafi, aho aminophylline ari uburyo bwahinduwe bukoreshwa neza mu gufata imiti mu mitsi. Nta na kimwe muri byo cyitwa ko

Aminophylline ikeneye kwitonda cyane ku bantu barwaye indwara z'umutima, ariko iracyakoreshwa igihe bibaye ngombwa. Uyu muti ushobora kugira ingaruka ku mutima wawe n'umuvuduko wawo, bityo abaganga bakurikirana abarwayi b'umutima cyane mugihe bavurwa.

Itsinda ryawe ry'abaganga rizagereranya inyungu zo guhumeka neza n'ibishobora guteza ibibazo ku mutima wawe. Bashobora gukoresha imiti mike cyangwa gukurikirana kenshi kugirango bakwemeze umutekano wawe mugihe cyose uvurwa.

Nkwiriye gukora iki niba ngize ingaruka ziterwa na Aminophylline?

Kubera ko aminophylline itangwa mu kigo cy'ubuvuzi, ugomba kubwira umuforomo cyangwa umuganga wawe ako kanya ku ngaruka zose wagize. Ntukegere cyangwa ngo ugerageze kwihanganira - n'ibimenyetso bito ni ngombwa kubitangaza.

Itsinda ryawe ry'ubuvuzi rishobora guhindura uburyo uvurwa vuba niba bibaye ngombwa. Bashobora kugabanya umuvuduko wo gutera umuti, bakaguha imiti yiyongera kugirango barwanye ingaruka ziterwa n'umuti, cyangwa bagahindurira uburyo bwo kuvurwa.

Nshobora kunywa Cafeine mugihe nahawe Aminophylline?

Nibyiza kwirinda cafeine mugihe uhabwa aminophylline, kuko ibintu byombi bifite ingaruka zisa kumubiri wawe. Kugira byombi bishobora kongera ibyago byo kugira ingaruka nk'umuvuduko mwinshi, umutima wihuta, no kugorwa no gusinzira.

Menyesha itsinda ryawe ry'ubuvuzi niba wanyoye cafeine vuba aha, harimo ikawa, icyayi, ibinyobwa bitera imbaraga, cyangwa shokola. Bashobora gushyira iyi makuru muri gahunda yawe yo kuvurwa kugirango bagufashe kuguma mu mutekano kandi wumve neza.

Aminophylline ikora vuba gute?

Aminophylline isanzwe itangira gukora mumaminota 15-30 iyo itanzwe mu maraso. Ushobora kubona guhumeka kwawe koroha vuba, nubwo ingaruka zose zishobora gutwara isaha kugirango zigaragare.

Itsinda ryawe ry'ubuvuzi rizakurikirana uko witwara buri gihe kandi rihindure uburyo uvurwa uko bibaye ngombwa. Niba utumva ko hari icyahindutse mu gihe gito, bashobora kongera urugero rw'umuti cyangwa bakagerageza imiti yiyongera.

Ese nkeneye ubufasha nyuma yo kuvurwa na Aminophylline?

Abantu benshi bazakenera ubufasha nyuma yo guhabwa aminophylline, cyane cyane niba byatanzwe mugihe cyo gufatwa n'umwuka mubi cyangwa COPD. Itsinda ryawe ryita ku buzima rizashaka kumenya niba guhumeka kwawe guhagaze neza kandi rigahindura imiti yawe yigihe kirekire niba bibaye ngombwa.

Ushobora gukenera kubonana na muganga wawe usanzwe cyangwa umuganga w'impyiko muminsi mike kugirango urebe icyateye ibibazo byihutirwa n'uburyo wakwirinda ibibazo bizaza. Barashobora kandi guhindura imiti yawe ya buri munsi kugirango itange uburyo bwiza bwo kugenzura uburwayi bwawe.